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THEODORE A BUCCILLI JR DPM
NPI 1528024619
Podiatrist in Tallmadge, OH

Active since April 26, 2006
116 EAST AVE, TALLMADGE, OH 44278(330) 633-3445(330) 633-6028 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodore A Buccilli Jr Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE A BUCCILLI JR DPM (NPI 1528024619) is a healthcare organization registered as a podiatrist in Tallmadge, Ohio and active in the NPI registry since April 2006. The organization lists Susan Cerimele, Billing, as its authorized official.

NPPES Registry Identity

NPI1528024619
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameTHEODORE A BUCCILLI JR DPM
Location Address116 EAST AVETallmadge, OH 44278-2328
Mailing Address116 East AveTallmadge, OH 44278-2328 · (330) 633-3445 · Fax (330) 633-6028
Phone(330) 633-3445
Fax(330) 633-6028
Organization SubpartNo
Authorized OfficialSusan CerimeleBilling · (330) 633-3445
Enumeration DateApril 26, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1528024619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in OH · 36003352
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
116 EAST AVE, Tallmadge, OH 44278
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON KELTY D.P.M.
Podiatrist
116 EAST AVE, SUITE 4
TALLMADGE, OH 44278
Summit County (216) 245-1290
MATTHEW DEXTER P.T.
Physical Therapist
116 EAST AVE, SUITE 2
TALLMADGE, OH 44278
Summit County (330) 633-3656
UNITY HEALTH NETWORK, LLC
Durable Medical Equipment & Medical Supplies
116 EAST AVE, SUITE 3
TALLMADGE, OH 44278
Summit County (330) 926-3468
DR. RICHARD D SPARROW DPM
Podiatrist
116 EAST AVE, STE 4
TALLMADGE, OH 44278
Summit County (330) 310-6938
RICHARD D SPARROW
Podiatrist
116 EAST AVE, STE 4
TALLMADGE, OH 44278
Summit County (330) 310-6938
SUMMIT REHABILITATION
Physical Therapist
116 EAST AVE, SUITE 2
TALLMADGE, OH 44278
Summit County (330) 633-3656
PODIATRY INC
Podiatrist
116 EAST AVE
TALLMADGE, OH 44278
Summit County (216) 245-1290
CHRISTOPHER MILOSCIA P.T.
Physical Therapist
116 EAST AVE, SUITE 2
TALLMADGE, OH 44278
Summit County (330) 633-3656

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore A Buccilli Jr Dpm's NPI number?

The NPI number for Theodore A Buccilli Jr Dpm is 1528024619. It was assigned to this organization in the NPPES registry on April 26, 2006.

Where is Theodore A Buccilli Jr Dpm located?

Theodore A Buccilli Jr Dpm is located at 116 East Ave, Tallmadge, OH 44278. The listed phone number is (330) 633-3445.

What is Theodore A Buccilli Jr Dpm's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Theodore A Buccilli Jr Dpm was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.